HomeMy WebLinkAbout024-741-08-5504-LUP-2004-055 / I
Application for Land U5� �'�;�rnii� l,r';�ilorelanc�*) � ,�
County of S�wyer N °
PO Box 6 i 6 - Hay�vard WI 54843 `�
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715/634-8288 �
*Property that is located within 300' of a creek, river or stream or within 1000' of a fi ,
flowage, lake or pond or has any of the above waterbodies located�vithin �
the property's boundaries. �_
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
- �h �n� PRINT-USE BLACK INK OR PENCIL �
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Owner _ Builder a �
// 5�,.�'S VU '�'r.tJ i ti �,�}�F /+'d �:
Mailing Address Mailing Address ,� �
f�J`�y w�-?r c� , t,�i`_ s�vs'�3 I �
City, State, Zip City, State, Zip `'
C7iS� `f6 Z- �S�r� C
Daytime Phone Daytime Phone � i�
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Additional Information: Zone District: �,��� �
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Lot Dimensions: � 7C X ��� �C S��'S �
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Date lot was created: 5'i.t-R v,Fy ��l 77 Acres: 2% � � � i�-,',�, �7
Is there wetland near the proposed structure?If yes, how far ___ o � '
Building Land Use Floodplain: ( ) Yes ��No � ��
( )New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No �
O Addition O Dredging Driveway access off of a(Check one): � �^
( ) Alteration ( ) Grading ( ) Private Rd �5Q Town Rd. �
( ) Moving On ( ) +; ) County Hwy ( ) State Hwy � �
� ) � ) � �
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Primary Structure Accessury Building Addition � o
( ) Dwelling (�i Garage-attache detacl�e� ( ) Deck � �
( ) Year round (� # of car stalls ( ) Porch W
( ) Seasonal ( ) Storage Building ( ) Enclosed �
( ) Frame built on site ( ) Screenhouse ( ) Living room � �!`.
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � C
( ) Mobile/manufactured ( ) Other ( ) Bedroom h
O Other primary structure O O Relocate/enlarge � G' n
O O O # ofnew � � � �
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AdditionalInformation: � „
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Type of Construction: rc � �
� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �
( ) Other `�� � `
Construction Cost: Primary Structure $ . � � �
� � I N
Accessory Building: $ ��C5�.e � Addition: $ � � N
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Deed: Vol �`/� Pg `�1'�ti Certified Soil Test# -7 7 -3F 7 O i -�'%y � z
CSM: Vol Pg Lot# Sanitary Permit# �q �:�33 C•�-��c�-. aQ 7�
Plat Envelope Or: �, �
Condo Vol Pg Year Installed:_ �,
"Loads and Flows": Vol Pg _ Owner When Installed: � �
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Previous office approvals/actions: ��
Variance: # LUP:# d ► � '-i l;3 SP: # CUP: # �
, �
Inspection Report: # Change of Zone District: �
,
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aSo83
Describe the canstruction using these columns. List the dimensions of each structure in a separate
column. List each story, each addition, each alteration in a separate column. �
#1. ('R,3,� � #2. #3. #4.
Size��ft. wide ft. wide ft. wide ft. wide
��fr. long ft. long ft. long ��fr. long
Floor azea T�sq. R. sq. fr. sq. ft. sq. ft.
Hgt from grade /2 � to peak ft. hgt. ft. hgt. ft. hgt.
Stories / stories stories stories
# of bedrooms c
Lake/Pond/Flowa e/River/Stream ame
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Fire Number and Name of Road //�``�'f'r- w �u.�/�� L-RL,-� P? C!`
i. Enter lot dimensions and indicate north by arrow. Sign�ftrrg of Owner or Au onzed Agent:
2. Indicate the location and size of the requested construction �sy�,i � �.�
Signalure
activities.
PrintName:�O/VdTL c� ��� ��T�1
3. Also, lndlcate the IoCatlon and CI15YElT1Ce to 1.11e Well, The above certifes that Me listed intormation and intentions are
true and cortect.,that all work shall be peAormed in crompliance
Sept1C ta111C and(�LalnflelCl, Wetland 3Te35, lot �Ines, with the requirements ot ihe Savryer County Zoning ONinance
and ihe laws and regulations of ihe State of Wisconsin, and if
centerline o£the road and waterbodles. acting as ovmer(s)agent nas the permission of ine ovmeqs)to
peAorm the work 2quested on Nis application. The above
persons/s hereby gNe permission for access lo the property for
onsite inspection.
Permit fee: $ l6 0 � r� <
Total land azea within 300' of the waterbody: (A) �y � ��/. � . � � d-��',`C K �
Total impervious surface azea [including this project] (B) � C b C� �� z
(B) / (A) x 100 = % Used ��1�' (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes (•�IVo '
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L� y�Dt I U sl -
Issue Date �— Signature ofIss g ent
�`�I Ul I b S 50%Rule: Average Road Setback:
Expiration Date
Office Comments:
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I,RONALD L. PETERSON, WISCONSIN REGISTERED LAND SURVEYOR, m
HEREBY CERTIFY TNAT IN COMPLIANCE WITH CHAPTER 236.340F �S
� � THE WISCONSIN STA7UYES AND UNDER THE DfRECTION OF SANDRA (�
`+� AND NELSON POWEL� , OWNERS, l HAVE SURVEYED AND MAPPED
� � C� THE LAND HEREIN DESCRIBED, THAT SAID MAP IS A CORRECT
c`�'v � � REPRESENTATION OF THE SURVEY MADE, TO TNE BEST OF MY
� � KNOWLEDGE AND ABILITY AND TNAT SAID LAND IS LOCATED IN �
� � GOV'T. LOT 5 AND PART OF THE SW I/4 - SE 1/4 ALL IN SEC710N 8,
�" � T 41 N, R7 W, ORIGINALLY DESCRIB£D �N VOL. 78, PAGE 99, INCORRECTLY
� � � � DECRIBED IN VOL. 277, PAGES 388 a 389 AND MORE PARTICULARLY
� . r` � DESCRIBED AS FOLLOWS;
.. h �r � ��
• .. ;..,ft .;f„t.. N = � � � �`V
;,,; � , � COMMENCING AT TNE SOUTHWEST CORNER OF SAID GOV T. LOT 5, �
���� '' c , $ ( :•••; •..;.. �� �2 THENCE S81°05�49��E, ALONG THE RECOGNIZED SOUTH LINE OF SAID
/'�`c S �• •. .. � GOV'T. �OT 5, 637.88 FEET TO THE ACTUQL POINT OF BEGINNING,
� �� �� ���p o Ac�o � �� � ` • � � THENCE Nl2° 54� II �� E , 170.54 FEET TOA MEANDER CORNER ON THE
cr
� '�g.� .P `sS� � •• SOUTHERLY SHORE OF LOWER TWIN LAKE, THENCE ALONG THE MEANDER
i`� �o_ %,� i �x � � � �� � ��
dy � �,, .9 9� � .v LINE AS FOLLOWS, S 42°55 19 E , 139.85 FEET, THENCE S 29°15 54 E,
� o � � � �, �` �S' \ � � 92.78 FEET, THENCE S 22° 39�03��E, 109,06 FEET TO THE EN� OF SAID �
(,r;, ° � \ � MEANDER LINE , THENCE S70°01�52�� W, 240.60 FEET, THENCE ;
e .�-' � a a SW COR. GOV�L LOT 5 � � , „ �
� � �I� � '� a SEC.B, t 41 N., R.7 W. N � r `�� �� ` N I°33 52 E, 200.00 FEET TO THE POINT OF BEGINNING AND INCLUDING
, 2 o2p o � ALL THE LAND BETWEEN THE MEANDER LINE AND THE WATERS
� a �� m `� S8�'005�49" �37 �66 ��,, 's. � EDGE OF I.OWER TWIN LAKE , BETWEEN THE PARCEL LINES EXTENDED
,\ � a o� F 88�� , � � '� p; � SUBJECT TO ALL EXISTING EASEMENTS AND RESERVATIONS.
^;� y o' .n ° N / /68 o F �
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� o � � /�\J�� / 394� �� 3p9, N S�UTH LINe ` THIS INSTRUMENT DRAFTED BY
v ?� � ` � 3°2 � �'o �F ` GOV'r RONALD �. PETERSON
� U o � I � � � ��/ � \� � � �, � `�\ �Or 5 DECEMEBER 6, 1977
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N � � � +� � 0 1� � k P�'• $�o , c� �Oa•9 „ � � �-.,• � , �
x n � � o �1 �i. �, 0 2'L /9 �5„ Do O� 52 � • >)ec �� CL , �%t.�.�-�..;
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• � " � ;� ;�ONALD� � �
� % _ _ • .: : : ,� � � — � \ � PETERSON
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� ' i : �"_' �a" � � / • SCALE �" - � ��' ` 5-843 ' � I
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� � � � FOUND iN PLACE ``�"Q '�\ " / O�
� � �,,, .lit �.,. , _ .^� �
f N� OR�� � BEARINGS ARE BASED UPON �� ,Cj)K'1Y' ,},
EX�S f SOLAR OBSERVaTIONS. �
� THIS IS NOT A NEW LOT BUT A �
RESURVEY OFAN EXISTING LOT. ��
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SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetation Protection Area)
� Land Use Permit No'. C7�/=Q�15 ' (To be entered by the Zoning Office) Index No. �- ��
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� WHEREAS,(list all owners) /�tr�/,q G � ��, ��i�S
`� �,
� � L.�-�� � � �.�C,� ;R �
_
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owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
WHEREAS,in order to secure a Land Use Permit.
�/1
..4' NOW,THEREFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that
O' the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of
� 35'landwazd from the ordinary high-water mazk of the waterbody.
� The owner(s)hereby agrees to comply with the shoreland vegetative protection area requirements of Section
4.410 SHORELAND VEGETATION PROTECTION AREA,Sawyer County Zoning Ordinance,in effect on
Q the date that the land use permit is issued by the zoning office.The owner(s)further agrees to allow authorized
� representatives of the Govemmental Unit to enter onto the owner's property at the following description
� between the hours of 8:00 A.M.and 6:00 P.M.[Section 9.13(1)POWERS,Sawyer County Zoning Ordinance]
O to inspect the structure(s)or uses authorized by said Land Use Pernut and to determine if the SHORELINE
VEGETATION PROTECTION AREA exists and that it is being preserved.This authorization shall terminate
on the date of expiration of the land use permit. However,the owner's obligation to maintain the SHORELINE
VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION
PROTECTION AItEA,Sawyer County Zoning Ordinance remains in effect.Violation of this Agreement will
authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
injunctive relief,restoration of said real estate,the revocation of said Land Use Permit and the removal of all
structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the
issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
Zoning Office.
Legal Description of Property: p.�,T a� �� s� I� �sc y�, s� r 4�N �1� ���S y�
P,�-�-a� G��- �-t-s s e,r v�� Q�W�,: S.y> � �
,
Dated this ,� n day of ,/1�J,q/� G/-�- , Z d U y
(Owner) (Owner)
/( /B'7 7�.�✓ —
(Owner) (Owner)
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(Own (Owner)
This instrument was drafted by:
Sawyer County Zoning Office